中国当代儿科杂志2025，Vol.27Issue(9)：1082-1088,7.DOI:10.7499/j.issn.1008-8830.2503016
孤独症谱系障碍儿童及亚临床孤独症特质群体感觉过度敏感的质性研究
A qualitative study of sensory hypersensitivity in children with autism spectrum disorder and individuals with subclinical autistic traits
摘要
Abstract
Objective To explore the manifestations of sensory hypersensitivity in children with autism spectrum disorder(ASD)and individuals with subclinical autistic traits.Methods From September 2021 to April 2023,interviews were conducted on 18 college students with high levels of autistic traits and sensory hypersensitivity selected using the Adolescent/Adult Sensory Profile and the Autism Spectrum Quotient(as subclinical group).Interviews were also conducted on the parents of 11 children with ASD aged 6-13 years selected using the intensity sampling method(as clinical group).Qualitative content analysis and thematic analysis were performed on the interview texts to investigate the scenarios and impact of sensory hypersensitivity and coping strategies in the two groups.Results The Autism Spectrum Quotient score was significantly positively correlated with sensory hypersensitivity(r=0.504,P＜0.001;n=225).Sensory modalities that triggered sensitive reactions were similar in the subclinical and clinical groups,with auditory hypersensitivity being the most prominent.Sensory hypersensitivity had significant negative impact on emotional wellbeing,cognitive ability,physical health,interpersonal relationships,and general adaptive functioning.These dimensions were interconnected,culminating in a holistic experience.Avoidance was the most commonly used coping mechanism for both groups(16 subclinical participants mentioned it 44 times;8 clinical participants mentioned it 40 times).The clinical group required more support and help from their caregivers(18 times),while the subclinical group used more proactive coping strategies(e.g.,facing sensitive scenarios,distracting attention)to alleviate the negative impact(51 times).Conclusions Sensory hypersensitivity is a common manifestation across the broad ASD phenotype,posing negative effects on multiple aspects of their lives.There is an urgent need for social tolerance and acceptance as well as the development of effective intervention measures.关键词
感觉过度敏感/孤独症谱系障碍/孤独症特质/质性研究/应对策略Key words
Sensory hypersensitivity/Autism spectrum disorder/Autistic trait/Qualitative research/Coping strategy引用本文复制引用
刘彦呈,朱丹灵,洪歆汝,周晗昱..孤独症谱系障碍儿童及亚临床孤独症特质群体感觉过度敏感的质性研究[J].中国当代儿科杂志,2025,27(9):1082-1088,7.基金项目
国家自然科学基金(32300927) （32300927）
上海市教育发展基金会和上海市教育委员会"晨光计划"(21CGA33). （21CGA33）
